Mitchell's Guestbook

Hello Mitchell and welcome to the blog.
Different surgeons have preferred surgeries and different opinions. I recommend getting more than one opinion. Timing usually depends on multiple factors. Generally a 5 cm aneurysm is the norm for surgical intervention but it can vary based on height. The assumption being smaller people, smaller arteries, earlier intervention. Usually if moderate stenosis you could still be in watch mode, but if testing indicates other structural changes, then earlier intervention may be recommended. What is your cardiologist's recommendation?
The longer you can keep your natural valve the better because replacements wear out and you are still young, and likely will need another surgery or more in your lifetime. But, you don't want to wait too long because your heart begins to change to accommodate for the stenosis, etc. and while most patients see remodeling after a surgical correction there is a point where you can wait too long. Studies are showing an earlier intervention once structural changes are noted, is better in the long term for your heart health.